ArticlePreventive medicine reports2025
Associations of multiple adverse childhood experiences, attachment insecurity and loneliness with physical and mental health difficulties in a representative Slovak sample.
Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Adverse Childhood Experiences and Mental Health Among Adolescents, Young Adults, and Adults: Mediating Roles of Positive Childhood Experiences and Resilience.The Psychiatric quarterly · 2026Article
- The link of adverse childhood experiences and attachment to maladaptive personality traits in adults diagnosed with substance use disorder.BMC psychology · 2025Article
- Broken Bonds, Lonely Hearts? A Mediation Analysis of Childhood Adversity, Relationship Quality, and Loneliness in Later Life.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: This study aimed to examine the occurrence of adverse childhood experiences (ACE) in the adult Slovak population and to examine the relationships between mental and physical health, ACE, attachment anxiety and avoidance, and loneliness. Sample and settings: A cross-sectional study with a representative Slovak sample ( Results: Over 75 % of respondents reported at least one ACE, and nearly a third reported four or more. Community violence (43.6 %), violent treating of a household member (38.1 %), emotional abuse (34.4 %) and emotional neglect (30.9 %) were the most common ACE. The average number of ACE was 2.7 (± 2.6). Multiple ACE were associated with attachment insecurity and loneliness. ACE were found to be significantly associated with both physical and mental health. Attachment anxiety and avoidance were linked to mental health, but only attachment anxiety remained significant when loneliness was included. Loneliness was associated with mental and physical health difficulties. Conclusion: ACE and loneliness are associated with physical health difficulties. ACE, attachment anxiety and loneliness are linked to mental health difficulties. Preventing child maltreatment and addressing loneliness are key to mitigating the long-term health effects of ACE.
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Registered trials
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